Interaction under different conditions. It is possible that every intervention works somewhat differently with different clients in different settings by different practitioners, thus reducing the likelihood of identical results. Example: Esther’s friend Louise was much taken with her tales of using self-monitoring with adolescent outpatients, so she tried to adapt the technique to youngsters in her school who were having problems related to hyperactivity. Even though she followed Esther’s suggestions as closely as possible, the results did not come out as well as they did in the other setting.
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